MEDICARE: LAKIEA WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	251373	MA
2	207R00000X	Internal Medicine Physician	00000000	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376876565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKIEA WRIGHT

Provider Business Mailing Address
First Line	:	33 COHASSET AVE. UNIT #2
Second Line	:	ALLERGY & ASTHMA ASSOCIATES - SOUTH
City	:	BUZZARDS BAY
State	:	MA
Zip	:	02532-3270
Country	:	US
Telephone Number	:	508-759-7555
Fax Number	:	508-759-7355

Provider Business Practice Location Address
First Line	:	33 COHASSET AVE. UNIT #2
Second Line	:	ALLERGY & ASTHMA ASSOCIATES - SOUTH
City	:	BUZZARDS BAY
State	:	MA
Zip	:	02532-3270
Country	:	US
Telephone Number	:	508-759-7555
Fax Number	:	508-759-7355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2009
Last Update Date	:	03/31/2015

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Directions to “ LAKIEA WRIGHT ” Practice Location

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